HomeMy WebLinkAbout2610 CHESTNUT AVE; ; CB931265; PermitBUILDING P E R M I T
11/16/93 10:37
JoTAdiretAeiO CHESTNUT AV Suite:
Permit Type: PLUMBING
Parcel No: 167-270-16-00
Valuation: u
Construction Type: NEW
Permit No: CB9312.65
Project No: A930i7'y2
Development No:
4738 11/16/93 0001 01 02
27=00
Reference*:
HEATER REPLACEMENT -
ApoI/Ownr : A&J FOSTER, INC.PI 2819 CENTRAL AVE
SPRING VALLEY, C!
Fees Required
Fees :
Adjustments:
Total Fees:
Fee description
Enter "Y" for Plurobirw; Issue Fee, >
Each Water Heater .=«:i.3.'.-n- Vent .
* PLUMBING TOTAL
Status: ISSUED
Applied: 11/16/93
Apr/Issue: 11/16/J3
Entered By: MDP
619 697-4151
:-ees' C./.;. .1 ected & Credits #*
'l\.bal CreJ.it:-;;
Total Payment • :
Balance Due:
Units t-"?eA.:"-t
.00
. 00
27. 00
Ext fee Data
20.0 0 Y
7.00
27.00
«<-
CITY OF CARLSBAB^
2075 Las Palmas Dr., Carlsbad, CA 95B09 (619) 438-1161
PERMIT APPLICATION
City of Carlsbad Building Department
2075 Las PaImas Dr., Carlsbad, CA 92009 (619) 438-1161
1. PERMIT'WPK
A - U Commercial U New Building U Tenant Improvement
B - D Industrial D New Building D Tenant Improvement
C - D Residential D Apartment D Condo g Single Family Dwelling D Addition/Alteration
D Duplex D Demolition D Relocation D Mobile Home D Electrical D Plumbing
D Mechanical DPool D Spa D Retaining Wall D Solar D Other
2. PROJECT INFORMATION
Building or Suite No.
PLAN CHECK NO.f*> _
EST.VAL
PLAN Of DEPOSIT
VAUD. BY_
DATE
FOR OFFICE USE ONLY
Address
Nearest Cross Street
, DESCRIPTION ivision Name/Number Unit No.Phase No.
HI*CHECK BELOW
D 2 Energy Calcs
[TEU:
D 2 Structural Calcs D 2 Soils Report D 1 Addressed Envelope
ASSESSOR'S PARCEL EXISTING USE PROPOSED USE
DESCRIPTION OF WORK
SQ.FT.# OF STORIES
3. "JUNTAd PtKliUN (it different from applicant;
NAME William Good
CITY 'a-r] cKgrlLKJUNIHAC
STATE rfftc
ADDRESS „,,„_,2610 Chestnut Ave.
ZIP CODEno DAY TELEPHONE o Qnn;9?.Q{;/UK iwT4. APPLTCANl
NAME
LJUWNEH DAGKN1 hOK OWNERiNlRAClUK ULAOhNf rUK CON 1KACIC
Shelly Andrews
ing Va]]e^TATE pa ZIP CODE Q1Q77 DAY TELEPHONE fiQ7-41
5. PROPKRTVO1
NAME William Good
CITY r^l r.K=^] STATE
ADDRESS 2610 Chestnut Ave.
ZIPCODEQonnQ DAY TELEPHONE •7-7Q_QQnn
o. CONTRAC.1U1T
NAME
CITY
ADDRESSA&J Foster inc. 2819 Central Ave.
Spring Valley5™™ Ca OPCODE 91977 DAY TELEPHONE 597_4151
STATE LIC. # o-o LICENSE CLASS -,, CITY BUSINESS LIC. #
UtSlGNtK WAMt
CITY STATE ZIP CODE DAY TELEPHONE STATE LIC. #
7. WORKEKS' UJMPENSA'IION
Workers Compensation Declaration: I hereby ariirm that 1 have a certificate of consent to self-insure issued by the Director otlndustrial
Relations, or a certificate of Workers' Compensation Insurance by an admitted insurer, or an exact copy or duplicate thereof certified
by the Director of the insurer thereof filed with the Building Inspection Department (Section 3800, Lab. C).
INSURANCE COMPANY POLICY NO p^qeoctot WrficTrrnrspe:
EXPIRATION DATE /I /Q/Certificate o!
so as to beci
SIGNATU
,Kxemption: I certify that in the performance or the work
subject to the Workers*)Compensation Laws of California.
ermit is issued, I shairnor
ll/lb/G?
toy a"ny person in any manner
8. OWNER-BUlLDhR
Owner-Builder Declaration: I hereby affirm that I am exempt trom the Contractors License Law tor the following reason:
D I, as owner of the property or my employees with wages as their sole compensation, will do the work and the structure is not intended or
offered for sale (Sec. 7044, Business and Professions Code: The Contractor's License Law does not apply to an owner of property who buildsor improves thereon, and who does such work himself or through his own employees, provided that such improvements are not intended
or offered for sale. If, however, the building or improvement is sold within one year of completion, the owner-builder will have the burdenof proving that he did not build or improve for the purpose of sale.).
D I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions
Code: The Contractor's License Law does not apply to an owner of property who builds or improves thereon, and contracts for such projects
with contractor(s) licensed pursuant to the Contractor's License Law).
D I am exempt under Section Business and Professions Code for this reason:
(Sec. 7031.5 Business and Professions Code: Any City or County which requires a permit to construct, alter, improve, demolish, or repair
any structure, prior to its issuance, also requires the applicant for such permit to file a signed statement that he is licensed pursuant to the
provisions of the Contractor's License Law (Chapter 9, commencing with Section 7000 of Division 3 of the Business and Professions Code)
or that he is exempt therefrom, and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit
subjects the applicant to a civil penalty of not more than five hundred dollars [$500]).
SIGNATURE DATE
COMPLETE THIS SECTION FOR NON-RESIDENTIAL BUILDING PERMITS ONLY:
Is the applicant or future building occupant required to submit a business plan, acutely hazardous materials registration form or risk management and
prevention program under Sections 25505, 25533 or 25534 of the Presley-Tanner Hazardous Substance Account Act?
D YES D NOIs the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district?
D YES D NO
Is the facility to be constructed within 1,000 feet of the outer boundary of a school site?
D YES D NO
IF ANY OF THE ANSWERS ARE YES, A FINAL CERTIFICATE OF OCCUPANCY MAY NOT BE ISSUED AFTER JULY 1, 1989 UNLESS THE APPLICANT
HAS MET OR IS MEETING THE REQUIREMENTS OF THE OFFICE OF EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT.
9. UONSTHlHJl'lON LENDING AUENCY
1 hereby atlirm that tnere is a construction lending agency tor the performance ot the work tor which this permit is issued (Sec 309710 Civil Uode).
LENDER'S NAME LENDER'S ADDRESS
10. APPLICANT CERTOTCAnON
1 certify that 1 have read the application and state that the above information is correct. I agree to comply with all City ordinances and State laws
relating to building construction. I hereby authorize representatives of the City of Carlsbad to enter upon the above mentioned property for inspection
purposes. I ALSO AGREE TO SAVE INDEMNIFY AND KEEP HARMLESS THE CTTY OF CARLSBAD AGAINST ALL LIABILITIES, JUDGMENTS, COSTS
AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SATO CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT.
OSHA: An OSHA permit is required for excavations over S'O" deep and demolition or construction of structures over 3 stories in height.
Expiration. Every permit issued by the Building Official under the provisions of this Code shall expire by limitation and become null and void if the
building or work authorized by such permit is not commenced within 365 days from the date of such permit or if the building or work authorized bysuch permit is suspended or abandoned at any time after the work is commenced for a period of 180 days (Section 303(d) Uniform Bjiilding
DATE: / /
WHITE: Pile YELLOW: Applicant PINK: Finance